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Leadership To Improve Diagnosis: A Call to Action. | PSNet

psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action

June 28, 2023 - Book/Report Leadership To Improve Diagnosis: A Call to Action. Citation Text: Leadership To Improve Diagnosis: A Call to Action. Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF. Copy …

The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. | PSNet

psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after

February 17, 2021 - Book/Report The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. Citation Text: The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of …

Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. | PSNet

psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call

September 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…

Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. | PSNet

psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention

September 29, 2017 - Commentary Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Citation Text: Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…

Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor

January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-comparative-views-patient-safety-specialists-workforce-staff-and

March 23, 2011 - Study Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. Citation Text: Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.…

Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? | PSNet

psnet.ahrq.gov/issue/there-benefit-multidisciplinary-rounds-open-trauma-intensive-care-unit-regarding-ventilator

January 06, 2010 - Study Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? Citation Text: Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding v…

Teamwork behaviours and errors during neonatal resuscitation. | PSNet

psnet.ahrq.gov/issue/teamwork-behaviours-and-errors-during-neonatal-resuscitation

September 13, 2011 - Study Teamwork behaviours and errors during neonatal resuscitation. Citation Text: Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. Copy Citation Format…

Creating a fair and just culture: one institution's path toward organizational change. | PSNet

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July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. | PSNet

psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation

January 05, 2017 - Study Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. Citation Text: Weingart SN, Price J, Duncombe D, et al. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. J Nurs Care …

Patient safety in the NICU: a comprehensive review. | PSNet

psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review

September 12, 2016 - Review Patient safety in the NICU: a comprehensive review. Citation Text: Samra HA, McGrath JM, Rollins W. Patient safety in the NICU: a comprehensive review. J Perinat Neonatal Nurs. 2011;25(2):123-132. doi:10.1097/JPN.0b013e31821693b2. Copy Citation Format: DOI Google S…

A "back to basics" approach to reduce ED medication errors. | PSNet

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September 28, 2010 - Study A "back to basics" approach to reduce ED medication errors. Citation Text: Blank FSJ, Tobin J, Macomber S, et al. A "back to basics" approach to reduce ED medication errors. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2…

Improving teamwork on general medical units: when teams do not work face-to-face. | PSNet

psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face

June 12, 2013 - Study Improving teamwork on general medical units: when teams do not work face-to-face. Citation Text: McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. Copy Ci…

Complications in surgery: root cause analysis and preventive measures. | PSNet

psnet.ahrq.gov/issue/complications-surgery-root-cause-analysis-and-preventive-measures

November 24, 2021 - Commentary Complications in surgery: root cause analysis and preventive measures. Citation Text: Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0. Copy Citation …

Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. | PSNet

psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-maternal-transport-briefing-form-and

September 08, 2021 - Organizational Policy/Guidelines Society for Maternal-Fetal Medicine Special Statement: a maternal transport briefing form and checklist. Citation Text: Gibson KS, McLean D. Society for Maternal-Fetal Medicine Special Statement: A maternal transport briefing form and checklist. Am J Obst…

An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool. | PSNet

psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered

September 27, 2017 - Study An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool. Citation Text: Long J, Yuan MJ, Poonawala R. An Observational Study to Evaluate the Usability and Intent to Adopt an Artificial Intelligence-Power…

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. | PSNet

psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey

September 01, 2018 - Study Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. Citation Text: Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…

Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events

July 14, 2010 - Study Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. Citation Text: Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive …

Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. | PSNet

psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review

July 05, 2017 - Review Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. Citation Text: Wheeler SQ, Greenberg ME, Mahlmeister L, et al. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. J Telemed Telecare. 2015;21(6):3…

Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet

psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review

July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

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